Publication: Hemodiyaliz ve sürekli ayaktan periton diyalizi hastalarında depresyon ve anksiyete bozuklukları, yaşam kaliteleri, cinsel hayatları ve stresle başa çıkma tutumları
The aim of this study is to evaluate depression, anxiety disorders, quality of life, sexual life and coping strategies with stress in chronic renal disease patients treated with hemodialysis, continuous ambulatory peritoneal dialysis(CAPD) and healthy control groups . The study sample was composed of patients who were undergoing hemodialysis (n=42) and CAPD (n=41) in Istanbul University, Istanbul Faculty of Medicine Hospital , Istanbul Education and Research Hospital and two private dialysis center. However, 41 healthy person having similar sociodemographic properties with the patient groups were chosen. Firstly we identified psychiatric disorders by using a structured clinical interview for DSM-IV Axis I Diagnosis (SCID-I). Additionally, Hospital Anxiety and Depression Scale (HADS), Short Form-36, Coping Strategies with Stress Inventory, Arizona Sexuel Experiences Scale(ASEX) and Questionnaire for Sociodemographic Information were applied. In this study; according to SCID-I; 59,5% of dialysis patients, 53,7% of CAPD patients and % 26,8 of controls were diagnosed with a psychiatric disorder. The most common disorder was depressiv disorders all of the groups. Although this disorders were mostly seen in hemodialysis patients, there was no statistically significant difference between hemodialysis and CAPD groups in depressive disorders, sexual disfunction and anxiety disorders. According to ASEX; 78,6% of hemodiyalysis and 65,9% of CAPD patients have sexual function disorders. The disfunctional coping strategies that used by hemodialysis patients were significantly higher than CAPD patients. As we assessed the quality of life, physical component scores of CAPD patients were significantly higher than the score of hemodialysis patients. Psychological component scores of CAPD patients were also higher than hemodialysis patients but the difference between the two groups were not statistically significant. Finally, we suggest that psychiatric assesment of these patients is essential to diminish pscyhiciatric morbidity and to enhance of quality of life.